Clinical Analysis Of 56 Cases Of Mullerian Sarcoma

Objective: The clinicopathological features of 56 cases of Müllerian adenoma were analyzed and discussed to further understand the clinicopathological features of the disease and provide basis for the clinical diagnosis and treatment of the disease.Methods: A retrospective analysis of the pathological features of 56 cases of adenosarcoma diagnosed in Shengjing Hospital Affiliated to China Medical University was conductedResults: 56 cases of adenoma occurred in the uterus body in 41 cases(73.21%),11 cases of cervical(19.64%),3 cases of pelvic cavity(5.36%),1 case of ovary(1.78%).The average age of the patients was 49.71 years old,and the average age of patients in the cervix was 43.4 years.Among them,12 cases(21.43%)were younger than 40 years old.There were 45 patients in stage I,1 in stage II,2 in stage III,3 in stage IV,and 1 was not removed from the hospital.The main clinical manifestations are abnormal vaginal bleeding,enlarged uterus,and polypoid tissue in the cervix.Ultrasound is mainly in the middle and low echo,most of them can check the blood flow signal.The main manifestations of CT were unclear mass boundaries,and most of them were heterogeneously mixed density.Enhanced CT and MR manifested as uneven enhancement.The main treatment is surgery,and the whole uterus ± double attachments are the basic surgical procedures.Conclusions: The age of onset of Müllerian adenosarcoma tends to be younger,and the age of onset of the cervix is smaller than that of uterine body adenosarcoma.The disease mostly occurs in the uterus and is rarely seen outside the uterus.Adenomas occurring outside the uterus may be related to endometriosis.Patients undergoing surgery,mainly confined to the uterus and without muscle infiltration or infiltration of the superficial muscular layer,may be considered for hysterectomy alone,and double-attachment resection may be considered for menopausal patients.However,lesions are confined to the uterus and infiltrate patients with more than 1/2 muscularis or deep muscular layer.It is necessary to perform bilateral adnexectomy and pelvic lymph node dissection.Young patients who require fertility preservation should undergo dual ovarian biopsy.Patients with visible pelvic metastases should undergo hysterectomy + double adnexectomy + pelvic lymph node dissection ± abdominal aortic lymph node dissection or cytoreductive surgery.